Kaplan Diag A MS3

1. 2. 3. 4. 5. 6. 7. 8. Kaplan Diag A MS3 The nurse cares for the client diagnosed as being in the manic phase of bipolar disorder. Which behavior indicates to the nurse the client condition is improving? a. The client offers suggestions to other clients on the unit b. The client begins to write a book about life c. The client sits and eats with other clients on unit d. The client talks with other clients a group meeting The health care provider orders a continuous intravenous aminophylline infusion for a two year old client. It is most important for the nurse to intervene for which situation? a. The client heart rate is 100 bpm b. The clients blood pressure is 100/60 mmHg c. The clients serum theophylline level is 25 mcg/mL d. The client is sleepy The nurse teaches the client about the schedule cardiac catheterization. Which statement, if made by the client to the nurse, indicates that the teaching was effective? a. "I understand that there is little or no risk associated with this procedure." b. "I may experience a little pounding sensation in my chest during the procedure." c. "I will be in and out of the procedure room in about 30 minutes." d. "I will be able to walk in the hall soon after the procedure is completed." During the second stage of labor, the client's partner asks the nurse, "Can I go get a cup of coffee from the cafeteria?" Which response by the nurse is best? a. "I will get you a cup of coffee." b. "It would be best if you stayed here at this time." c. "Ask your partner if it is acceptable to leave." d. "Why do you want to leave the room?" The nurse discovers that client lying face down on the floor. Which action does the nurse take first? a. Assess the patency of the client's airway b. Determine whether the client is responsive c. Check the client's carotid pulse d. Reposition the client onto the back A nurse works 3 weeks at a 100-bed suburban hospital after working several months at a 40-bed rural hospital. The nurse prefers the total client care delivery system that was used at the rural hospital, rather then the team leading system of client care that is used at the suburban hospital. Which action does the nurse take? a. Works with in the system at the hospital to change the type of client care delivery b. Discuss his thoughts about the type of client care delivery system with the nurses supervisor c. Asks the nurses peers why this type of client care delivery system is used d. Suggests a change in the type of client care delivery system to the director of nursing The nurse cares for the client diagnosed with a left traumatic below knee amputation (BKA) with a tourniquet in place. The client also has a tear from the perineum to the rectum. Which action is the nurse take first? a. Apply anti-shock trousers b. Assesses the clients level of consciousness c. Remove the tourniquet d. Check the client's blood pressure and pulse During morning rounds, the client diagnosed with schizophrenia tells the nurse, "I know you are conspiring with my spouse to keep me locked away." Which statement by the nurse is the most appropriate?